angiogram

can you help me in coding the following procedures.. please
1. Angiogram aortic iliac plus elective left lower extremity angiogram.
2. Elective catheterization. Initial catheter position right common femoral. Final catheter position left common femoral artery.

and the diagnosis is "Severe ischemia, left foot with numbness at rest and severe pain",

re: angiogram

Angiogram aortic iliac -75630
lower extremity angiogram - 75710 and 36246(catheter placement) 2nd order.
Hope this helps.

re: angiogram

while billing both procedures 75630, 75710, it requires a modifier as per cci edits..and, we are also billing 36246 too..

I think in this case, we need to append modifier 59 - distinct procedural service - to 75710. Is it right?

And, is it require to use modifier 51 for multiple procedural services?

re: angiogram

The 75710 would be inappropriate, the injection of the extremity was just a continuation of 75630 to get a complete picture of the extremity.

re: angiogram

I would code this out as 36246 for CFA selection w/ 75710-LT for imaging.

I would not code the initial aorto-iliac injection if it is not a "full & complete" aortogram. Per SIR, " ...non-selective iliac vessel imaging is typically inherent to extremity angiography."

75630 is a bilateral code. Was the right extremity also imaged?

75630 would be appropriate for the aorto + limited bilateral iliofemoral.

75625/75716 would be appropriate for a full aortogram + bilateral LE arteriogram(s).